Nikdokht Rashidian1,2, Wouter Willaert2,3, Mariano Cesare Giglio1,4, Vincenzo Scuderi1, Francesca Tozzi1, Aude Vanlander1, Katharina D'Herde3, Adnan Alseidi5, Roberto I Troisi6,7. 1. Department of Human Structure and Repair, Ghent University Faculty of Medicine, Ghent, Belgium. 2. Division of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium. 3. Department of Anatomy, Embryology, Histology and Medical Physics, Ghent University Hospital, Ghent, Belgium. 4. Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. 5. Division of Pancreas, Liver and Biliary Surgery, Virginia Mason Medical Center, Seattle, USA. 6. Department of Human Structure and Repair, Ghent University Faculty of Medicine, Ghent, Belgium. roberto.troisi@unina.it. 7. Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. roberto.troisi@unina.it.
Abstract
OBJECTIVES: The purpose of this study was to evaluate the feedback of participants upon laparoscopic liver surgery (LLS) course on Thiel-embalmed human bodies. METHODS: From 2010 to 2017, ten LLS masterclasses have been organized by the Department of Hepatobiliary Surgery at Ghent University Hospital. A 23-question anonymous survey was electronically sent to 119 participants between November 2017 and January 2018, exploring their characteristics and asking for evaluation of the course. The obstacles for implementing LLS in their centers have been assessed. RESULTS: Sixty-four surgeons (53.8%) responded to the survey; 42 (65.6%) were employed at a university hospital; and 39 (60.9%) were in the first decade of their practice as a consultant surgeon. Forty-three (67.2%) surgeons reported an increased percentage of LLS cases afterward. Training on Thiel cadavers was considered superior (49.2%) to other training options including proctoring in the operating room (34.9%), virtual reality (6.3%), video training (4.8%) and practicing on pigs (4.8%). Obstacles identified contained inadequate training, patient's referral pattern, financial issues, lack of dedicated surgical team and time constrains. CONCLUSIONS: This survey revealed that a structured short-time program incorporating interactive discussion, live operations and hands-on training on human bodies under proctorship may enhance efficient training in laparoscopic liver surgery. In a step forward for upcoming courses, the importance of team building has to be addressed.
OBJECTIVES: The purpose of this study was to evaluate the feedback of participants upon laparoscopic liver surgery (LLS) course on Thiel-embalmed human bodies. METHODS: From 2010 to 2017, ten LLS masterclasses have been organized by the Department of Hepatobiliary Surgery at Ghent University Hospital. A 23-question anonymous survey was electronically sent to 119 participants between November 2017 and January 2018, exploring their characteristics and asking for evaluation of the course. The obstacles for implementing LLS in their centers have been assessed. RESULTS: Sixty-four surgeons (53.8%) responded to the survey; 42 (65.6%) were employed at a university hospital; and 39 (60.9%) were in the first decade of their practice as a consultant surgeon. Forty-three (67.2%) surgeons reported an increased percentage of LLS cases afterward. Training on Thiel cadavers was considered superior (49.2%) to other training options including proctoring in the operating room (34.9%), virtual reality (6.3%), video training (4.8%) and practicing on pigs (4.8%). Obstacles identified contained inadequate training, patient's referral pattern, financial issues, lack of dedicated surgical team and time constrains. CONCLUSIONS: This survey revealed that a structured short-time program incorporating interactive discussion, live operations and hands-on training on human bodies under proctorship may enhance efficient training in laparoscopic liver surgery. In a step forward for upcoming courses, the importance of team building has to be addressed.
Authors: Giammauro Berardi; Stijn Van Cleven; Åsmund Avdem Fretland; Leonid Barkhatov; Mark Halls; Federica Cipriani; Luca Aldrighetti; Mohammed Abu Hilal; Bjørn Edwin; Roberto I Troisi Journal: J Am Coll Surg Date: 2017-08-31 Impact factor: 6.113